RELATIONSHIP BETWEEN THE PIVOT SHIFT AND THE CONFIGURATION OF THE LATERAL TIBIAL PLATEAU

被引:49
作者
KUJALA, UM
NELIMARKKA, O
KOSKINEN, SK
机构
[1] UNIV TURKU,CENT HOSP,DEPT SURG,SF-20520 TURKU 52,FINLAND
[2] UNIV TURKU,CENT HOSP,DEPT DIAGNOST RADIOL,SF-20520 TURKU 52,FINLAND
关键词
D O I
10.1007/BF00571483
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Twenty patients with a chronic anterior cruciate ligament tear were studied. First they were interviewed on the preoperative history of unexpected giving way (pivot shift), then they were tested for clinical pivot shift sign, and last, the configuration of the lateral tibial plateau was studied using magnetic resonance imaging. A connection could be noticed between the history of instability symptoms and the pivot shift sign at clinical examination (P < 0.001). Interestingly, there was also a link between the instability history and the configuration of the lateral tibial plateau (P = 0.0021), and, further, between the clinical pivot shift sign and the configuration of the lateral tibial plateau (P = 0.0002). The variation in the shape of the convexity of the lateral tibial plateau seems to be associated with the symptoms and prognosis of the patients with rupture of the anterior cruciate ligament.
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页码:228 / 229
页数:2
相关论文
共 7 条
[1]
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1986, 1 (8476) :307-310
[2]
Galway RD, 1972, J BONE JOINT SURG BR, V54-B, P763
[3]
CLASSIFICATION OF KNEE LIGAMENT INSTABILITIES .1. MEDIAL COMPARTMENT AND CRUCIATE LIGAMENTS [J].
HUGHSTON, JC ;
ANDREWS, JR ;
CROSS, MJ ;
MOSCHI, A .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1976, 58 (02) :159-172
[4]
JAKOB RP, 1981, ACTA ORTHOP SCA S191, V52, P1
[5]
LOSEE RE, 1983, CLIN ORTHOP RELAT R, V172, P45
[6]
MECHANISM OF THE PIVOT SHIFT [J].
MATSUMOTO, H .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1990, 72 (05) :816-821
[7]
WOOD MR, 1979, J BONE JOINT SURG BR, V61, P519